Auto Adjudication

SureHit — our signature solution — matches and corrects medical provider data as part of the adjudication process for TPAs, PPOs, Health Plans, and other Healthcare Payers.

SureHit:
What To Expect

If you represent a TPA, PPO, or Health Plan, please feel free to download our SureHit overview and implementation guide. SureHit is truly the standard in the industry.

Just fill out this form to request the document What to Expect: A Simple Overview of the SureHit Medical Provider Data Solution, and feel free to contact us with any questions or thoughts you may have.

Contact Information

704-424-9889

info@baseload.com

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What to Expect: A Simple Overview of the SureHit Medical Provider Data Solution

SureHit

Radically Improve EDI Adjudication through Medical Provider Data Matching & Corrections

What Is SureHit?

SureHit is a unique combination of services, technology, and data that serve to match and correct medical provider data for TPAs, PPOs, Health Plans, and Workers Comp during the electronic adjudication process.

What Does It Do?

SureHit improves the efficiency of healthcare payer adjudication by matching, correcting, and fulfilling medical provider data automatically, reducing items in the “provider not found” error queue to as low as 1%.

How Difficult is Implementation?

While implementation does require your attention, it is surprisingly simple. It takes only weeks to be fully implemented. Check out our implementation guide titled What to Expect: A Simple Overview of the SureHit Medical Provider Data Solution.

SureHit NOW

Real-Time Integrated Processing

SureHit BATCH

Same-Day Batch Processing

Which is right for you?

Features & Benefits
—

BASELoad, Inc.

Soc2 Type II Certified

24/7 customer service with a real person

All data managed and stored in the US

Our SureHit Solution

Up to 99% provider data accuracy

Completely customizable for client needs

Reduce operating expenses on day one

TPAs, PPOs, Health Plans, Workers Comp

Healthcare Payers all run into the same problem during the adjudication process – a daunting amount of medical provider data errors that must be manually researched and corrected. This work is time-consuming and costly, often pulling your team away from other tasks.

BASELoad provides auto adjudication solutions that can reduce medical provider data errors to as low as 1%. This radical improvement in adjudication creates a much more efficient process for payers.

Average mistakes on 837 claims/bills files

Provider information on claims – missing or inaccurate30%

30%

NPI Type I Type II incorrect10%

10%

Missing phone numbers20%

20%

Missing fax numbers90%

90%

Undeliverable addresses7%

Incorrect / Transposed Tax Identification numbers5%

Incorrect facility / physician identifiers5%

Newly introduce provider records22%

22%

CASE STUDY:
SureHit Batch

We onboarded a new client who processed over 200,000 claims per month and had 80,000 of those going into a “Provider not found” queue. Our solution dropped that number from 80,000 to 1,000 in two days time.

Testimonials

Our office uses BASELoad and W-9 Corrections to review provider’s W-9 information for discrepancies between what we have been provided and what is registered with the IRS. We have utilized this service for several years and have found that our 1099-MISC form returns have been drastically reduced. Our returned mail for incorrect addresses on our 1099-MISC forms has declined and we did not receive a CP-2100A notice for any incorrect filing last year. The staff at BASELoad responds quickly and efficiently to any information or requests and have made what could be a difficult time each year much less stressful.

Darla Bowen

Account Manager

Recency Employee Benefits

We’ve used BASELoad for our 1099 processes for 7 years and they’ve been great to work with. Their service takes much of the 1099 work off our staff, which helps us out tremendously. We would not want to go back to the old in-house processes we used to use.

Phil Niles

VP, Information Technologies

Cottingham & Butler

BASELoad is efficient, accommodating, and professional. We are going on five years with absolutely zero service issues.

Jessica Bowman

Data Analyst

Group Management Services, Inc

I want to thank [Gerard], BASELoad, and W-9 Corrections for the amazing work within our two claims systems. The legacy system lacked the technology to efficiently match our provider records, which lead to human intervention, which leads to human errors. The batch process is still very efficient and has been helpful and is now part of our daily operations. In addition, the technology your organization brings to us on our new platform is nothing but amazing. The use of real time matching through API calls brings the process down to seconds. We see BASELoad as a very strategic partner in our operations.

Chief Operating Officer

BASELoad is a pleasure to work with. They are always very responsive and adaptive to our requests. The service is outstanding.

Gary Ritter

Vice President of Technical Claims Services

Allegiance Benefit Plan Management, Inc.

BASELoad was a game changer since moving to our new claim platform. What once took two FTE’s a full day to maintain our provider records, Baseload streamlined that down to just one FTE a few hours a day.

The SureHit Rules Portal even further streamlined the process by giving us the necessary tools to implement our own unique set of rules that apply specifically to our company.

From the president all the way down, the staff is friendly, knowledgeable, and supportive. We appreciate our partnership and look forward to remaining a client for many years to come.

Brian Trombly

Assistance Director Operational Integrity

Cobalt Benefits Group LLC

BASELoad is a pleasure to work with. They always jump on a call when needed and help to resolve any issues we have in a timely manner. They have always been very responsive and communicative with us. They never give any resistance to a call and are always available.

Teresa Colson

Director, Process Expert & Project Management

Paragon

With W-9 Corrections, I no longer have to worry about our 1099’s because they handle the process and are great at reminding me of important deadlines. They do such a great job and provide excellent customer service.

Andrea Gibbs

Plan Administrator / Information Security Officer

ACS of Tennessee

I want to say again that the team at BASELoad is wonderful! Always willing to help, quick turn around times! One of my favorite companies to work with!

Mandi Burkhart

Vice President Administration

ACS Benefit Services, LLC